Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Idaho State University

Organization Mental Health Counselor · NPI 1811595929

Idaho State University is a Mental Health Counselor in Pocatello, Idaho. Registered with an NPI since 2020.

In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1400 E Terry Dr Bldg 63
Pocatello, ID 83209-0001
Phone: (208) 240-1690
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1811595929
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIdaho State University
Authorized official Cynthia Rock — Clinics Director Of Operations · (208) 373-1743
Other names Isu Pocatello Counseling Clinic
NPI enumeratedOctober 12, 2020
Last updated in NPPESOctober 12, 2020
Certification dateOctober 12, 2020
Mailing address921 S 8th Ave Stop 8120, Pocatello, ID 83209-0002

Other providers in Pocatello